Scheen A J, Lefèbvre P J
Université de Liège, Département de Médecine, CHU Sart Tilman.
Rev Med Liege. 1998 May;53(5):285-9.
Type 2 diabetes has long been considered as a benign disease, whereas it is in fact associated with an enormous socio-economic cost. The major part of the burden of diabetes results from the management of complications (both direct and indirect costs), rather than from the various components of the antihyperglycaemic treatment itself. Solutions include a better prevention of the disease, an earlier diagnosis among individuals at risk, and an optimized management of diabetes, particularly in primary care settings, in order to avoid or retard the development of severe micro- or macroangiopathic complications which are particularly expensive.
2型糖尿病长期以来一直被视为一种良性疾病,而实际上它与巨大的社会经济成本相关。糖尿病负担的主要部分来自并发症的管理(包括直接和间接成本),而非来自降糖治疗本身的各个组成部分。解决方案包括更好地预防该疾病、对高危个体进行早期诊断,以及优化糖尿病管理,尤其是在初级保健机构中,以避免或延缓严重微血管或大血管病变并发症的发生,这些并发症的治疗成本特别高昂。